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Loss, Grief, and DeathWhich assessment should be done immediately? Auscultate Bertha's lungs for adventitious breath sounds. During the admission procedure, what is the nurse's responsibility regarding advance directives? Determine if Mrs. Klein has completed a living will and a durable power of attorney. How should the nurse respond to Frank's remarks? Place a copy of the living will in the medical record and document its presence. How should the nurse reply? Saliva entering the lungs can also cause pneumonia. Which response demonstrates that the nurse understands the underlying premise of a living will? We will honor Bertha's directives in her living will. What nursing intervention should be instituted to care for Bertha's mouth? Clean her mouth frequently with oral swabs. What is the safest manner of giving oral care to Bertha?